Provider Demographics
NPI:1770375487
Name:BUETTNER, HEIDI G
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:G
Last Name:BUETTNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1326 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:HOLDREGE
Mailing Address - State:NE
Mailing Address - Zip Code:68949-1913
Mailing Address - Country:US
Mailing Address - Phone:308-991-9005
Mailing Address - Fax:
Practice Address - Street 1:1326 10TH AVE
Practice Address - Street 2:
Practice Address - City:HOLDREGE
Practice Address - State:NE
Practice Address - Zip Code:68949-1913
Practice Address - Country:US
Practice Address - Phone:308-991-9005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE155133373H00000X
NE92996373H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist